Refractory Hypotension after Successful Cardiac Arrest Resuscitation- Time to Rule Out Vasoplegic Syndrome.

A 26 year old male presented to the emergency department with alleged history of RTA and sustained run over injury to right lower limb. On examination his vitals were HR-132/min. BP-70/42 mmHg SpO2 – 97% with room air. He was papery pale, drowsy and arousable to calls. A provisional diagnosis of severe hypovolemic shock was made. 16G Venflon was secured and resuscitation initiated with crystalloids and colloids. Blood samples sent for routine investigations (CBC, RFT) and blood grouping, typing and coagulation parameters. Meanwhile during resuscitation patient had cardiac arrest with asystole for which CPR initiated and ROSC achieved in 5 minutes. His haemoglobin levels were 5 g% with ABG showing mild metabolic and lactic acidosis. He was then stabilised with 3 units of PRBC in ER and shifted to CT scans. OF CASE

Fine-needle Aspiration Cytology in Diagnosing Soft-tissue Swellings: A Retrospective Study

Aim: To determine the accuracy of fine-needle aspiration cytology (FNAC) in diagnosing soft-tissue swellings. Materials and Methods: A retrospective study was conducted over a period of 2 year (September 2015 to September 2017), which included 96 patients who presented with soft-tissue swelling to the surgical outpatient department. All the above patients were subjected to FNAC and were operated for the swelling; their histopathological reports were correlated with the preoperative FNAC report to determine the accuracy of FNAC in correctly diagnosing the soft-tissue swelling. The data in this study were analyzed using statistical analysis system software. Results: Majority of the patients were in the 3rd decade of life and the number of females was more than males. The accuracy of FNAC in diagnosing soft-tissue swelling in the present study was found to be 77.78%. Conclusion: FNAC is a safe, quick, and inexpensive technique in diagnosing soft-tissue swelling with a high degree of accuracy.

Assessment of ground water quality in Mukkam, Chepalakancheru and Dallipeta: Coastal Villages of Vizianagaram District of Andhra Pradesh.

The present work was under taken to analyze the various water quality parameters, viz. pH, electrical conductivity, total dissolved solids, total alkalinity, total hardness, chloride, calcium, magnesium, sodium, potassium and to assess the water quality in bore well and well water samples of three coastal villages Mukkam, Chepalakancheru and Dallipeta of Vizianagaram district of Andhra Pradesh. From each of the village, different sampling stations were identified and by composite sampling methods water samples were collected and analyzed for the various parameters. The results were compared with the values stipulated by World Health Organization (WHO), and ARE: 10500 for drinking water quality. In the present investigation the authors found that the overall quality of the three villages is poor and not recommended as potable.